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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date: 9- /1- q7
Meter(s) Installed At: J 39:3 fk, rldr
Name of Owner: .::J''(IF~ ~ k-e
Address of Owner: 339 fit y ,.' .Yep;
Meter(s) Size: J/;Y I)'
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction L..---
Single Meter ----1"
Typical Multi-Unit, Multiple Meter
METER ISOLATION VALVES
~
--.
DISCHARGE TO
..-- SANrrARY SEWER
~DlSCHARGETO
.,- SANrrARY SEWE/t
/
-4 METER ISOlATION VALVES
~ BUILDING CONTROL VALVE
.-8lAD1NG CONTROL VALVE
Typical Deduct Meter
Typical Water Use Only 'Meter
NO SAHrrARY
SEWER DISCHARGE
ALLOWED
DISCHARGE TO
SAHrrARY SEWER
METER ISOlATION VALVES
/
~ METER ISOLATlOHVALVES
BUILDING CONTROL VALVE
+~
1: ::::: :
I ~ BUIlDING CONTROL VALVE
NO SANrrARY
SEWER DISCHARGE
ALLOWED
DISCHARGE TO
SANrrARY SEWER
Note: 1. A Plumbing Permit may be required prior to the installation of the issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a home
owner may perform hislher own plumbing within thier single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
Meter(s) will be installed and used according to the above information.
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Signature of Owner or Agent
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